Healthcare Provider Details

I. General information

NPI: 1497673792
Provider Name (Legal Business Name): CLOVERLEAF FAMILY COUNSELING SERVICES, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1847 ROBINSON ST
OROVILLE CA
95965-4860
US

IV. Provider business mailing address

PO BOX 8
OROVILLE CA
95965-0008
US

V. Phone/Fax

Practice location:
  • Phone: 530-645-9760
  • Fax:
Mailing address:
  • Phone: 530-645-9760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. JULIE MARIE TOROK-MANGASARIAN
Title or Position: CEO
Credential: MA, PHD, LMFT
Phone: 530-645-9760